Deploring


Deploring has long been a favourite sport of mine.

Bankers, paedophiles, turners of blind eyes have all earned my opprobrium. I’ve deplored racists and people who speak or act violently, and in common with many others, I’ve greatly enjoyed deploring politicians. I’ve deplored climate change deniers and I’ve deplored people who criminalise asylum seekers. A good deplore always left me feeling righteous. As my wife points out I’m particularly good at seeing myself as righteous.

In recent times deploring has lost some of its gloss. It’s become like tenesmus, which is the medical term for the condition of dissatisfied defaecation. The instinct is blameless, the urge is strong, but the act feels somehow incomplete.

Hillary deplored deplorables to her cost. It turns out the deplorable are not few and they live next door or across the street, or among your friends.  

Covid has seen an outbreak of deplorables and of deploration, both in epidemic proportion. Anti-vaxxers, rioters who confront police, those who piss on the Shrine and expose the many to the risk of contagion; attenders (not attendees – no-one forced them to attend) at an illicit engagement party, worshippers at a proscribed religious service likewise incur my white-hot rage.

But my rage no longer satisfies. Why? Firstly, I have to distinguish between the act which I deplore and the actor. Further, I need to recognise that the deplorables are people, and what’s more they are people in the plural. They are my fellow citizens, these hundred who congregate to pray, thesethousands who block streets and provoke police officers. I can’t help wondering who these people are and reflecting on the honest thoughts and the genuine fears that prompt many of them to act in these harmful or misguided ways.

In my work I meet plenty who declare their certainty of conspiracy (big pharma, the government, George Soros – which means – wink, wink, nudge, nudge – the Jews). Others teach me the science; this week a seventeen-year old girl told me, ‘I know Pfizer impairs female fertility. I know I want to have children but I want to be safe from Covid too.’ (I told her I too had heard that report, but only here in Lightning Ridge, where I’m presently working, had I heard it. The remainder of female humanity doesn’t know what this child knew – and now unknows.) How can I deplore her for the primal fear of childlessness? What profit is there in contradicting those convictions that are religious in their depth?

The common theme among my patients is fear. It’s honest, sincere fear, invariably magnified and feeding on itself and its cesspool of ‘information’. How can we help frightened people by name-calling?

I have no respect for those people who decline vaccination and cry Apartheid! Their thinking is sloppy and they enjoy playing the victim. Less innocent too are those who behave lawlessly. But with the exceptions of the clearly malevolent minority (I include here members of bikie gangs, violent anarchists, Nazis earnestly working towards overturning democracy and restoring Whitest Australia), no-one gets up in the morning and asks, How can I do the most harm today? What is the most foolish trending opinion I can embrace?

Rather I see people who embrace such folly as attracted to the ‘glamour’ of free thinking, the ‘heroism’ of rebellion, the ‘courage’ of free speech. They evoke in me feelings that range from compassion (in my consulting room) to outright condescension (like the people of biblical Ninivehthey know not their right hand from their left).

But we are divided. We do discriminate between the vaccine-willing and the others. We grant freedoms to some and deny them to others. I can see no other choice, but I can see no long-term future in this discrimination. There is a limit to people’s acceptance of curtailment of their liberties. The fabric of community is only as strong as our leaders’ capacity to inspire.

Where are the inspiring leaders? They do exist. At the outset of the pandemic I held great fears for the most vulnerable communities in Australia. Even more than residents in Aged Care, I feared for outback indigenous communities. People who obeyed an ancient cultural imperative to wander through ancestral lands would surely catch and succumb to the virus, as they did in early colonial times to smallpox. But this did not eventuate. The traditional leaders, elders, listened to respectful advice that was appropriately conveyed. They became convinced and they carried conviction with their people. People listened, followed and were safe.

My friend Colin begs to differ. I’m pleased to oblige:

Howard. G’day and thank you for sharing.

To “deplore” is surely the most respectful way to demonstrate that one differs from another’s point of view.

 

Deplore – to express or feel deep grief in regard to.

 

In certain quarters this word came to be reviled after it was used to register dismay at public political rallies. The rallies became places where lies, insults, routine mocking of opponents and outrageous motivation of crowds chanting “lock her up” in respect of a political opponent who 5 years later has not been charged with anything. There was no crime.  This from a man who now has 16 Civil legal cases underway against him and a further 16 Criminal cases underway. A man who has instigated or influenced 60 appeals against an election result, all of the appeals dismissed, sometimes with a Judge’s comment, “don’t waste the court’s time, there is no evidence”. 

 

History teaches us such “leadership” emboldens ill informed and bigoted people to behave inhumanely. Seeing ill informed led astray, firstly to chant insults and later to attack the seat of Government leaves me weary, bewildered, numbstruck and sighing with grief. Politicising a virus is a masterstroke of machiavellianism.

 

It’s deplorable.

If we see a small child randomly pull blooms off flowers, or hurt a small brother, or for good measure swing the cat about by its tail and then tell lies, we rightly deplore it. And try to correct it. If in the process “our rage no longer satisfies” maybe it’s because we think our voice no longer counts and have given way to misinformation or that no one is listening. There are voices the misguided listen to. They are not by any stretch “reflecting on honest thoughts”. Rather they reflect on dishonesty of a spectacular nature. If these thoughts and actions are “religious in their depth” this is called heresy, not that I’d suggest burning at the stake. But failure to act in a firm manner gives leeway for deplorable behavior such as pissing on a shrine.  

Relying on people getting the correct message via the frightful spectacle of seeing grandma, a friend, neighbour or workmate suffocate to death with covid is not enough. Mandating compliance saves any argument(s). 

No jab, no footy. 

No jab, no coffee.

No jab, no Bali. 

No jab, no work. 

 

Doing so doesn’t mean “we grant freedoms to some and deny to others”. It’s not unlike the freedom to drive a car once learned and tested. And when that’s achieved other layers are added, such as wear a seat belt, don’t speed, and for heaven’s sake get off your phone while driving at 60kph and if you’re 15m aloft fixing the tiles put up a safety harness. Please. For a variety of reasons, one being it’s cheaper for society to do that than pay for a lifetime of care for a paralysed worker. This is not “discrimination” but boundaries for the greater good.

What Does it All Mean? – V The Final Act

‘TRIGGER WARNING’

The following post may distress some readers. Before reading, please ensure you have any supports you might need.

This hurts the most. 

If only, if only…

It happens and it hurts and the hurt can’t be helped; it can’t be talked away; it can’t be redeemed.

And when you lose the next one in this way, it finds you again unprepared, defenceless, bewildered.  

When I count those lost to me by their own hand, I find the tally low: three, three in over fifty years. These three, and two more who tried and who fell, falling, astonished into my outstretched arms.

The wound is not to my pride. The wound goes deeper. Petty pride stings at slights, but this is not slight. This one trusted me, that one looked to me, they stood before me in their naked grief and I tried to clothe them in my regard: You matter. Your life has value. Your unique being has meaning. 

I have been talking, I discover, to those who are beyond hearing. My words vibrate and pass, and unclothed and alone, the three take their leave. 

The first died for beauty. Believing herself dysphorically to be disfigured, she could not see the beauty all others could see in the photos her despairing husband took and showed her. Beauty cannot keep her lustrous eyes. She takes her leave, she takes her life. Her husband cannot take my calls.

The second died for lovelessness. Born a late child into a family already too full of children, born whole into a constellation deformed by the severe deformity of an elder brother, this one was never deemed to have needs. He called out for notice: Mum, I’ll be good! Mum, I topped the class! Dad, I was best and fairest! Mum, Dad they made me School Captain! Mum… Dad…

They never noticed. All their time, all their energy they spent on the other one, the one who couldn’t run, who would never read. Mum and Dad had no love to waste. The unloved one made himself lovable. I never met a more winning man. I noticed him, I regarded him. He won me. But mine was not the love he lacked.

Being lovable, being good, being the one who’d always try the hardest, he tried all I suggested; he took the medication, and the next medication. He accepted the referral to a psychiatrist, he engaged with the therapist, he accepted admission to hospital. He convinced the specialist he was recovering. He left hospital and he kept his appointment with me. He spoke to me in warm appreciation. He took his leave and, leaving me in false assurance, he took his life.

Twenty years pass and still I shake my head in bewilderment. So vital his being, so warm his blood, so much greater than both, his pain.

Of the last I write least. Two years on it remains too raw. Another who died for beauty. Ugly only in her own eyes, ‘unworthy’ of the lavished love of her parents. Unable to bear the hope with which I’d inoculate her, she separated herself from me in her final months. She died by her own hand. She died alone.

My feelings are not of guilt. Not being family to any of the three, I feel none of the woundof kin, none of that stab of accusation or anger. I cared for all three. They took from their scant stores of trust and they invested in me. I tried my best. It was not enough. We all lost.

What Does it all Mean? – IV

Warm Skin and Broad Shoulders

For my first twenty years in general practice, I worked in partnership with a famous man who happened also to be a great man. I’d heard of him before we met. His name was Donald Cordner, famed as the sole doctor ever to win a Brownlow Medal in Australian football. I learned you win the Brownlow for being the fairest and best player. Those two adjectives epitomise the man.

Donald happened to be, in his time, the tallest player in the League. Together with that height he was broad in proportion. On my first morning with him, Donald performed a tonsillectomy on a child of eight. Disdaining a trolley, he hoisted the patient in his arms and carried her to the Operating Theatre before surgery, then carried her back to the ward afterward. Donald personified two valuable characteristics in a doctor – the personal touch and broad shoulders.

At about five feet and seven inches I could only look up to this very tall man. My initial awe gave way quickly to admiration, for I saw in Donald a quality I’d seen at close quarters through the previous twenty-six years as the son of another GP. That quality was the courage to feel the pain of another, to share it willingly, to shoulder it and to carry on with calm. 

I saw Dad and Donald as they brought life into the world and as, inevitably, they walked closely with others to their final exit. They did this kindly and bravely. Every birth builds us, every death diminishes us. John Donne was right:

Therefore send not to know

For whom the bell tolls,

It tolls for thee.

Seated in close consultation with a young mother one morning in the village of Diamond Creek, I was interrupted by the insistent ringing of the telephone: Would I come urgently to the Treatment Room?

For the next thirty minutes Donald and I worked frantically to revive a six-month old baby who hadn’t cried that morning. Her anxious mother found her child inert, unresponsive, not breathing. We tried all we knew but the baby would not breathe. All through this time the mother stood at our side, fully, dreadfully aware. Through it all, the baby felt warm to my touch. That warmth was to haunt me.

I returned to my patient and took up our earlier conversation: Jen, how did you feel when he spoke to you…

My patient cut across me: Howard, you’ve just been attending to something terrible in the other room. You can’t just walk back in here and carry on as if nothing has happened. You have to give yourself some time.

Jen (not her real name) was right. Nobody had ever suggested a doctor too might need care. 

Over the following twenty years the bereaved mother brought her surviving children to Donald and me. We shared our unbearable, unspoken knowledge.

Another young mother, Julie, became my patient around that time. Over the next decade I delivered her babies and looked after her children. I tried to help her when she became depressed following her final childbirth, and again when she came to me for help through her divorce. Julie was a dynamo whose many ailments frequently led to surgery, and few of her numerous operations went smoothly.

Julie saw in me capacities that I could not recognise. When she brought a problem to me she did so with inordinate trust in my powers. Howard would know. That trust must have generated the power she imagined. She demanded I become a better doctor, and her faith or some species of love brought that doctor into being. 

When I left Diamond Creek she followed me to the city, travelling an hour each way to see me for her many incurable conditions. When Julie moved to a  more distant country town the trip to see her trusted doctor took two hours each way. Her ailments were many and her visits not few. She’d seek my counsel in her wilful mother’s decline. She shared the joy of new grandchildren. Her bones began to crumble and she looked to me for guidance about the medication that should strengthen bone, but weren’t there cases where the jaw would abruptly crack?

When aged about sixty, Julie developed intractable abdominal pain. Specialists failed to find the cause and I struggled to relieve her pain. Through all of this Julie looked to me with that unwavering trust.

Belatedly we found the small malignancy that was the cause of Julie’s pain. Cure by surgery was not possible. Supported by her brave husband, Julie endured the full ordeal of chemotherapy. To the end Julie chased a cure: she would not give up her precious life. To the end she trusted her old doctor. I was humbled by her faith.

Julie died.

Over fifty-one years I’ve seen death undo so many. Not all deaths were tragic, some were a release. Inevitably, though, some die in cruel suffering. I remember Robbie (not his name), a tender soul, a deeply spiritual man who’d survived a harsh childhood, and who emerged with a love that overflowed. Robbie and I shared a love of literature. He’d hunt out books he knew I’d enjoy and gift them to me, inscribing every volume with a message full of feeling. To this day I’ll pick up an old postcard, a cherished book suffering neglect, and instantly, Robbie’s handwriting, the curved lettering, bring him back; his love visible in ink.

One day I rode with Robbie as he drove his teenage kids to school. He kissed his daughter as she left the car, then he kissed his blushing son. As I followed, rather than allow me to feel neglected, Robbie kissed me too.

Robbie worked in Student Services at a university, later as a chaplain in ICU at a major hospital. He would see forty percent of his patients die.

Robbie knew his own heart would eventually fail. Numerous surgeons had opened his heart and repaired or replaced valves, not all successfully. Robbie’s cardiologist assured him his passing would be smoothed: he would not suffer. This GP reinforced this advice. Robbie and his devoted wife trusted our words.

When his time came, Robbie exited life in a prolonged and desperate struggle for breath. He died at home with his wife at his side. Years later Robbie’s widow – herself my beloved friend – continues to suffer grief born of betrayal.

In the end that must come, all we doctors can offer our patients is our warm skin and our broad shoulders.